生物型加长柄半髋关节置换术对老年股骨粗隆间骨折患者HHS及并发症的影响  

Effect of Biotype Plus Stem Hemiarthroplasty on HHS and Complications in Elderly Patients with Intertrochanteric Fractures

作　　者：吴锦华 袁志峰 WU Jinhua;YUAN Zhifeng(Department of Orthopedics,Jingdezhen First People's Hospital,Jingdezhen 333000,China;不详)

机构地区：[1]景德镇市第一人民医院骨科,江西景德镇333000

出　　处：《中国医学创新》2024年第23期1-5,共5页Medical Innovation of China

摘　　要：目的:探讨生物型加长柄半髋关节置换术对老年股骨粗隆间骨折患者Harris髋关节评分(HHS)及并发症的影响。方法:选取2022年1月—2023年1月景德镇市第一人民医院收治的老年股骨粗隆间骨折患者94例,采用随机数字表法分为两组,各47例。对照组实施骨水泥型加长柄半髋关节置换术治疗,观察组实施生物型加长柄半髋关节置换术治疗。比较两组围手术期指标(手术时间、总失血量、住院时间、术后次日扶患者下地负重站立时间、术后引流量)、HHS、骨密度、并发症发生情况。结果:观察组手术时间、骨折愈合时间均较对照组短,术后次日扶患者下地负重站立时间早于对照组,总失血量及术后引流量均较对照组多,差异均有统计学意义(P<0.05)。两组HHS的时点、组间、交互作用比较,差异均有统计学意义(P<0.05);两组术前HHS比较,差异无统计学意义(P>0.05);观察组术后各时点HHS均高于对照组(P<0.05);两组术后各时点均较术前升高,差异均有统计学意义(P<0.05),术后3个月均较术后6周升高,差异均有统计学意义(P<0.05),术后6个月均较术后3个月升高,差异均有统计学意义(P<0.05)。两组各部位骨密度时点、组间比较,差异均有统计学意义(P<0.05);两组术前比较,差异均无统计学意义(P>0.05),观察组术后各时点均高于对照组,差异均有统计学意义(P<0.05);两组术后各时点均较术前升高,差异均有统计学意义(P<0.05),术后3个月均较术后6周升高,差异均有统计学意义(P<0.05),术后6个月均较术后3个月升高,差异均有统计学意义(P<0.05)。观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:生物型加长柄半髋关节置换术可缩短老年股骨粗隆间骨折患者手术时间,促进患者术后恢复,改善患者髋关节功能及骨密度,降低并发症发生风险,但该术式也存在失血量及术后引流量较多的问题。Objective:To investigate the effect of biotype plus stem hemiarthroplasty on Harris hip score(HHS)and complications in elderly patients with intertrochanteric fracture.Method:A total of 94 elderly patients with intertrochanteric fractures admitted to Jingdezhen First People's Hospital from January 2022 to January 2023 were selected and randomly divided into two groups using a random number table method,with 47 cases in each group.The control group underwent cemented stem half hip arthroplasty,and the observation group underwent biotype plus stem hemiarthroplasty.The perioperative indicators(operation time,total blood loss,hospital stay,standing time on the following day,postoperative drainage rate),HHS,bone mineral density,and complications were compared between the two groups.Result:The operation time and fracture healing time of the observation group were shorter than those of the control group,and the standing time of the patients on the second day after operation was earlier than that of the control group,the total blood loss and postoperative drainage volume in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).There were statistically significant differences in HHS time point,intergroup and interaction between the two groups(P<0.05);there was no significant difference in preoperative HHS between the two groups(P>0.05);HHS in the observation group were higher than those in the control group at all time points after surgery(P<0.05);both groups were higher than those before surgery at all time points(P<0.05);3 months after surgery were higher than 6 weeks after surgery,the differences were statistically significant(P<0.05);6 months after surgery were higher than 3 months after surgery,Medical Innovation of China Vol.21,No.23 August,2024 the differences were statistically significant(P<0.05).There were significant differences in bone mineral density between two groups at different time points and between groups(P<0.05);there was no statistica

关 键 词：股骨粗隆间骨折 加长柄半髋关节置换术 生物型 骨水泥型 髋关节功能 并发症 

分 类 号：R687.3[医药卫生—骨科学]